Organization
LEGACY VEIN CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER REECE (DIRECTOR OF OPERATIONS)
(423) 328-0163
Entity
Organization
Contact information
Practice address
1229 FOX MEADOWS BLVD STE 2, SEVIERVILLE, TN 37862-6925
(865) 437-3977
(865) 437-3912
Mailing address
4 SHERIDAN SQ STE 102, KINGSPORT, TN 37660-7435
(423) 328-0163
(423) 491-8109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
07/14/2022
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